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lindahartford

lindahartford

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lindahartford's Latest Activity

  1. lindahartford

    Nurse Charged With Homicide

    I think you missed my last paragraph. I did quit hospital nursing, went into Home Health and never looked back.
  2. lindahartford

    Nurse Charged With Homicide

    My last job on a hospital was in 1976. After 20 years of experience, including 5 years on a busy Medical/Surgical unit in NYC I moved to FL and took a position as floor nurse on an orthopedic unit after being promised I would have no more than 4 patients a day and was given 2 days orientation and the next I was instructed to give a patient a bed bath, to be supervised by the head nurse. The patient was a pleasant old lady, one day post-op with a hip replacement. She had an IV with an antibiotic. When I took down her sheet I saw her whole body was covered with a fine, pink rash. I immediately turned off the IV and reported the rash to the head nurse, She exclaimed, "You can't turn off an IV without a Dr's order." and ran in the room to open it. I explained to her that legally we were responsible to stop the IV and notify the doctor. Just then an intern waled in. She told him that because the rash was not on her face, it was just a heat rash from the blankets. He said "OK" and let the order stand. Should I have done more? Looking back, the answer is yes. At that time I looked on her chart to see if she had any living relatives that I could advise to call her attending doctor. None. "I'm the last button on the shirt" she told me. The next morning she wasn't there. I asked he head nurse about her and was told she went into renal failure, was transferred to ICU and died during the night. I asked her if she knew that that was a result of an adverse reaction to an antibiotic and she repled, "It could have been a lot of things." I went to the Directress of Nursing and asked to see the incident report to be sure my notes were included. She assured me that it all being handled. I worked there long enough to realize that 3 out of every 4 post-op patients had infections, that doctors did not wear gloves during dressing changes nor wash their hands when they left the patients even when I begged them to. And I never had less than 8 patients a day with most on individual precautions, post-op or in traction. This was an accredited hospital with the lowest standards of practice I had ever seen. It's open by the way. I was looking in want ads, considering leaving nursing altogether when I saw an ad for Home Health. It turned out to be an area where I could work at my own speed, and work at my highest level of expertise and standards. I fell in love with nursing again and worked for 30 more years doing what I loved best making a huge difference in many lives.
  3. lindahartford

    Nurse Charged With Homicide

    I strongly agree with responsibility uplito administrators and supervisors. Nurses have long lived with work overload and extended days and months of untold stress and it has taken extraordinary effort by nurse unions to get admnistration to decrease nurse/patient ratios even a little bit. We need rapid improvements in that area.
  4. lindahartford

    6 Phrases Every Nurse Manager Must Learn to Say

    These are all good points. The only thing I would add is that when I tell a coworker. "Great job," I like to add how I know that. For instance. "Great job. Mrs X says she feels so much better since you changed her dressing." or Great job. Mr. Y looks less anxious since you explained his procedure." I know my coworkers are pleased to know that I am able to see the results of their efforts.
  5. lindahartford

    Shrinking Maternity Care in Rural America

    One of the major reasons for this is our Congress has been pushing to get rid of Planned Parenthood for decades now, Whether you are for or against abortions, the care they have given to poor and uninsured women for over 50 years is sorely missed in the areas that have forced them out. In Texas, the Maternal death rate, about 30 deaths/100,000 births (terrible when compared to European and other civilized nations with rates from 4 - 11) has increased to almost 40 since they got rid of all but one PP in the whole state. Now Trump is pushing to take away all Federal funding for the entire organization. This policy is killing mothers and leaving families without a parent. I have no idea how many babies have died because of these laws. Please register to vote and vote for Medicare for all.
  6. lindahartford

    Nurse Charged With Homicide

    Over 40,000 people die every year in this country due to medication errors. That would be 40,000 nurses, doctors and pharmacists on trial for accidental homicide. Now THAT would cause a nursing shortage.
  7. lindahartford

    Nurse Charged With Homicide

    This is a terrible thing to a human being. There's that old joke about doctors burying their mistakes. But a woman made a mistake and the lawyers want to burn her at the stake. After 50 years of nursing, I sometimes worry if I ever made a serious error that I'm not even aware of. For this nurse to be treated like this is almost unthinkable. Think there is a nursing shortage now? Where is the responsibility of administrators putting nurses in over their heads with impossible hours and work loads? Policeman shoot the wrong people and get off. We are both in jobs where peoples lives are in the balance. We all do our best but sometimes that is just not enough.
  8. lindahartford

    Ageism in Nursing

    I worked in nursing for 53 years and never had a problem with employment. I retired at 72 despite my employer's request to continue at least part-time to "Trouble-shoot" My attitude about my job was always focused on my talent and experience. And I always saw these things as assets, never liabilities. In return, my focus on other nurses was always on the same. In Home Heath, which I worked for my last 30 years in Florida, the nurses in the same company were already very competent in their fields. Our employer, an RN, had a great talent for finding the gold in her employees and encouraged teamwork. She also encouraged us to be independent and form our own teams. Team members covered each other for days off, car breakdowns and illness. and vacations. I often requested another nurse on my team to evaluate breathe sounds or review insulin doses and coverage. And I was often asked to make a visit to evaluate mental status or wound care. There was practically no turnover and most of us were at least in our low 70's and one nurse worked into her 80's. Her attitude was, "I'm good at this, what else could I do that I would enjoy as much every day?" When I retired it was to do something entirely new. I'm still doing it and loving it. What I want to say to young nurses is, respect yourself, be great at your specialty, hold your standards higher than anyone else ever will, and create a niche that you love. It took me 20 years to discover Home Heath. Take your time , create your own best life and love every day. The really exhausting, miserable, hard, frustrating days are there so you can see if you are in the right place in your profession. Keep calm and carry on. You are so very much needed in this world.
  9. lindahartford

    Psst....Let's Talk About Gossip in the Nurses' Station

    To the Nurse who thinks gossip is great fun as it makes the day go faster. Sounds like you are part of the problem. You are trying to give a destructive behavior a happy face. Perhaps you could find something possitive to be a leader in. Try tackling Ending Hunger, or the Wish Foundation and start conversations around those. This will keep you so busy you won't have time for gossip.
  10. lindahartford

    Addressing the Predicted Nursing Shortage

    This is extreme but it does make a point that the BSN is not sufficient to develop well-rounded nursing practice. Communication, however, may be the most important part of nursing. Not just between the administration and other staff but even more between nurses, each other, and their patients. Older nurses have a great deal of experience that could be shared with new nurses but that is not a policy that hospital administrations care anything about. Their focus now is just the bottom line. Money. Period
  11. lindahartford

    Addressing the Predicted Nursing Shortage

    1:7 ? Wow! I was once hired onto an orthopedic unit with the promise of no more than 4 patients a day. In fact, I never had less than 8 and on weekends as many as 10. Besides that, due to outlandishly poor infection control, 2-3 of these patients were on Individual Precautions. Even at that I had to beg doctors to put on gloves for wound care or get them to at least wash their hands between infected patients. It was scary personnally, exhausting and frustrating. The worst 6 months of my 53 years of practice.
  12. lindahartford

    Addressing the Predicted Nursing Shortage

    You are so right. We older nurses had the great advantage of extensive bedside experience. These young grads are taught that their BSN is everything. No wonder without support to get bedside experience these new grads are dropping out in droves. More respect for the vital work of bedside nurses would be a great help as well.
  13. lindahartford

    Addressing the Predicted Nursing Shortage

    Hi Old Dude, you can call me Old Lady. After 53 years of nursing experience, 23 at bedside and 30 in HOme Health I agree completely that young nurses are thrown into ICU and situations over their heads with reckless abandon by hospitaladministrators. No patient will be turned down, providing they have some sort of insurance and hospital administra tion will rely on increased productivity by its nurses. This just means they will have more work and no relief wil incresed wages or benefits. The hospitals all expect more and more work from us for less and less consideration.
  14. lindahartford

    Addressing the Predicted Nursing Shortage

    I totally agree that the loss of nurses is due to lack of support for new nurses and that hospital policies need to give practical bedside nursing experience before pushing them into ICU situations with poor nurse-patient ratios and little teaching available. When I was in my old-fashioned RN program I was taught the best nursing practices, not by my instructors but by the Head Nurses who insisted I learn them. When I was a young Head Nurse when of my responsibilities was to continue the training of our new nurses. Now, I see none of that. Young nurses are put into ICUs and expected to perform as if book learning is all that is needed. These youngsters are frustrated and retiring out of survival. They are in fear of making a deadly mistake and having it on their conscience for life. They work long hours and with poor nurse-patient ratios. Fix those things and nurses will do what they love for as long as I did.
  15. lindahartford

    2017 allnurses Salary Survey Results Part 1: Demographics and Compensation

    It says there are only 18,300+ respondents so you know this is not 100% of the nurses in the country. it looks like a pretty good average. As to lying on this kind of survey, it makes no sense, but factor that in if you feel a need to. I did. For me, I liked looking at this just to see the variances and get a rough estimate of what's going on in nursing. I appreciate all the work that went into this.
  16. lindahartford

    Working Holidays? 5 Ways to Make It Work for You

    Very nice attitude of both you and your family. Alternate celebrations can be just as much fun or more. Keep it up. linda